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This is VAERS ID 1337882

History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1337882
VAERS Form:2
Age:71.0
Sex:Female
Location:Unknown
Vaccinated:2021-05-04
Onset:2021-05-04
Submitted:0000-00-00
Entered:2021-05-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 009C21A / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Paranoia, Schizophrenia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 17     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Presented to the ED by her son for paranoia related to schizophrenia; no medical complaints

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1337882&WAYBACKHISTORY=ON


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